Apply for an Auto Loan at Harbor City Auto Sales, West Melbourne, FL, 321-733-4535

APPLY FOR CREDIT

Please be sure to include the vehicle year, make, model, and stock number information on the vehicle you are applying for in the "Additional Comments" box at the bottom of the application.

Please only put Numbers in the financial fields like Monthly Income.

Applicant Information

First Name:

Middle Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Social Security:

Date of Birth:

Drivers License Number:

Drivers License State:

Drivers License Exp:

Mobile Phone:

Home Phone:

Email:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence

Complete if you've been at your current Residence for less than 2 years.

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence 2

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence 3

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Previous Residence 4

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Applicant Employment Information

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer

Complete if you've been at your current Employment for less than 2 years.

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer 2

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer 3

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Applicant Previous Employer 4

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Do you have a co-buyer?

Co-Buyer Information

First Name:

Middle Name:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Social Security:

Date of Birth:

Drivers License Number:

Drivers License State:

Drivers License Exp:

Mobile Phone:

Home Phone:

Email:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence

Complete if you've been at your current Residence for less than 2 years.

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence 2

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence 3

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Previous Residence 4

Address 1:

Address 2:

City:

State:

Zip:

Phone Number:

Time at Residence:

Years:

Months:

Residence Type:

Rent/Mortgage:

Co-Buyer Employment Information

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer

Complete if you've been at your current Employment for less than 2 years.

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer 2

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer 3

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Co-Buyer Previous Employer 4

Employer:

Employer Type:

Monthly Income:

Occupation:

Address 1:

Address 2:

City:

State:

Zip:

Work Phone:

Time on Job:

Years:

Months:

Vehicle Information

Vehicle To Finance:

Stock Number:

Year:

Make:

Model:

Trim:

Vin:

Mileage:

Additional Comments

ACKNOWLEDGMENT AND CONSENT:

I certify that the above information is complete and accurate to the best of my knowledge. Creditors receiving this application will retain the application whether or not it is approved. Creditors may rely on this application in deciding whether to grant the requested credit. False statements may subject me to criminal penalties. I authorize the creditors to obtain credit reports about me on an ongoing basis during this credit transaction and to check my credit and employment history on an ongoing basis during the term of the credit transaction. If this application is approved, I authorize the creditor to give credit information about me to its affiliates.

ACKNOWLEDGMENT AND CONSENT:

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